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Special considerations while measuring pulse

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Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
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His Bundle Pacing: My Experience, Tricks, and Tips.

Francesco Zanon1, Lina Marcantoni1, Marco Centioni1

  • 1Arrhythmia and Electrophysiology Unit, Division of Cardiology, Department of Specialistic Medicine, Santa Maria Della Misericordia General Hospital, Viale Tre Martiri 177, 45100 Rovigo, Italy.

Cardiac Electrophysiology Clinics
|June 17, 2022
PubMed
Summary
This summary is machine-generated.

His Bundle Pacing (HBP) offers a reliable alternative to traditional pacing by preserving natural heart rhythm. This physiologic pacing method is particularly beneficial when high pacing percentages are needed.

Keywords:
Conduction system pacingHis bundle pacingPhysiologic pacing

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • His Bundle Pacing (HBP) is an advanced pacing technique.
  • Initially lacking dedicated tools, HBP has evolved significantly over 20 years.
  • The availability of specialized tools has facilitated the adoption and spread of HBP.

Purpose of the Study:

  • To evaluate His Bundle Pacing as a viable alternative to conventional right ventricle pacing.
  • To highlight the effectiveness of HBP in maintaining physiologic ventricular synchrony.
  • To underscore the clinical benefits of HBP, especially in cases requiring high pacing percentages.

Main Methods:

  • Implantation of a pacing electrode directly into the His bundle.
  • Utilizing unipolar signals from the lead tip to guide the implantation procedure.
  • Exploring the potential of 3D electroanatomical mapping to enhance procedural accuracy.

Main Results:

  • HBP has proven to be a reliable and effective pacing method.
  • HBP successfully preserves physiologic ventricular synchrony.
  • Clinical benefits are particularly pronounced in patients requiring a high percentage of pacing.

Conclusions:

  • His Bundle Pacing is a well-established and effective alternative to traditional pacing.
  • The technique excels at maintaining cardiac synchrony, offering significant clinical advantages.
  • Advancements in tools and mapping technology continue to support and improve HBP procedures.